Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Interlochen Emergency Group, PC

Organization Emergency Medicine Physician · NPI 1336821495

Interlochen Emergency Group, PC is an Emergency Medicine Physician in Traverse City, Michigan. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1105 6th St
Traverse City, MI 49684-2386
Phone: (231) 935-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 224 Park Ave, Frankfort, MI 49635-9036 — (231) 352-2200

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1336821495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Heinrich — President/Owner · (337) 609-1221
NPI enumeratedAugust 7, 2023
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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